Muñoz Pérez M A, García Vera C, Galve Royo F, Fortea Gimeno E, Olmedillas Alvaro M J, Muñoz Izquierdo M P, Adivinación Herrero A, Montaner Cosa C
Centro de Salud Teruel.
Aten Primaria. 1995 Apr 30;15(7):446-8.
To establish the necessity of anemia and iron deficiency screening in breast-feeders in our environment.
A crossover study, after data collection from case records.
93 children of 18 and 24 months living in a urban area. All of them are included in the Healthy Breast-feeder Programme of the Health Center of Teruel city.
Detection in venous blood of hematocrit, hemoglobin, mean corpuscular volume, mean corpuscular hemoglobin, transferrin saturation and ferritin in serum.
We founded a 1.1% of anemia with iron deficiency and a 3.4% of latent iron deficiency. We detected a total of 5.4% cases of iron deficiency. We didn't find any statistical significance when comparing the haematic values among children who had received different kinds of milk nor in relation with the time in which they got it. We didn't find either any differences when comparing such values among those who had received iron prophylaxis and those in which this treatment was not considered necessary.
Therefore we suggest selective iron prophylaxis for risk groups and laboratory studies only in those with evident signs of anemia or iron deficiency.
确定在我们所处环境中对母乳喂养者进行贫血和缺铁筛查的必要性。
在从病例记录收集数据后进行的交叉研究。
93名年龄在18个月至24个月的居住在市区的儿童。他们均被纳入特鲁埃尔市健康中心的健康母乳喂养计划。
检测静脉血中的血细胞比容、血红蛋白、平均红细胞体积、平均红细胞血红蛋白、转铁蛋白饱和度和血清铁蛋白。
我们发现1.1%的儿童患有缺铁性贫血，3.4%的儿童存在潜在缺铁情况。共检测到5.4%的缺铁病例。在比较接受不同种类牛奶的儿童的血液学值时，以及与他们开始饮用牛奶的时间相比，未发现任何统计学意义。在比较接受铁预防措施的儿童和那些未被认为有必要进行这种治疗的儿童的此类值时，也未发现任何差异。
因此，我们建议对高危人群进行选择性铁预防，仅对有明显贫血或缺铁迹象的人进行实验室检查。
